Dr. Murray Bowen, a pioneer in the field of marriage and family therapy, offered 8 interlocking concepts as a way to think about relationship functioning, especially in one's extended family, nuclear family, and couples' relationships. This is a model that assumes that problems can come from too much togetherness. It assumes that if one feels secure in one's ability to remain separate, one can go the distance in one's effort to remain connected to important people in one's life.
Describe the family life cycle
Distinguish the shift from linear to circular thinking.
Describe the influence of Bateson
Describe the core concepts of systemic therapy: phase 1 & 2
Describe the family life cycle
Distinguish the shift from linear to circular thinking.
Describe the influence of Bateson
Describe the core concepts of systemic therapy: phase 1 & 2
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The Genogram project is about building a genogram tree which helps in detailed relational analysis of a family tree.
Built on: D3, Django, Python, PostgresSQL, Twitter Bootstrap, Selenium.
Bowen Therapy balances the physical, mental and emotional planes. Its rejuvenating effect empowers the quality of our lives. Natural Approach are providing bowen therapy treament in Melbourne and Carlton.
Doing a Cultural Genogram: Hardy & LaszloffyJane Gilgun
This presentation describes the cultural genogram according to the work and thought of Hardy & Laszloffy. Doing a cultural genogram is an important part of becoming a competent helping professional. Emotional and psychological boundaries are central to effectiveness. Doing a cultural genogram raises subconscious processes to awareness, and thus professionals are much less likely to put their stuff on other people, including people who may be their clients and who are vulnerable.
In dealing with problems in life, there's a more humanistic type of psychology called the Gestalt therapy. Read to know more about this effective approach.
Week 6Contextual Family Therapy modelFor this assignment, .docxmelbruce90096
Week 6
Contextual Family Therapy model
For this assignment, you will write a reflection paper that includes a summary of the constructs from the Contextual Family Therapy model and an application of those concepts to your own (or another person’s if this is too difficult) family of origin.
Include the following in the model summary:
1) The major assumptions for change in the contextual approach.
2) Use your own words to identify, define, and describe the major concepts of the contextual approach.
3) Address what makes this approach different from some of the other Marriage and Family Therapy approaches you have studied.
Include the following in your application of this model to your family of origin:
1) The important family legacies that are a part of your family of origin
2) The intergenerational transmission of the family culture
3) The invisible loyalties that exist in your family of origin
4) How justice has been applied in your family of origin
5) How these have impacted your development and that of any siblings, including how you/they exited (grew up) the family of origin
6) How these concepts, if at all, influence your current life
Length: 5-7 pages
Gehart, D. R. (2014) Mastering Competencies in Family Therapy Chapter 7
Intergenerational and Psychoanalytic Family Therapies
Lay of the Land
Although distinct from each other, Bowenian intergenerational therapy and psychoanalytic family therapy share the common roots of (a) psychoanalytic theory and (b) systemic theory. A psychoanalytically trained psychiatrist, Bowen (1985) developed a highly influential and unique approach to therapy that is called Bowen intergenerational therapy. Drawing heavily from object relations theory, psychoanalytic or psychodynamic family therapies have developed several unique approaches, including object relations family therapy (Scharff & Scharff, 1987), family-of-origin therapy (Framo, 1992), and contextual therapy (Boszormenyi-Nagy & Krasner, 1986). These therapies share several key concepts and practices:
• Examining a client’s early relationships to understand present functioning
• Tracing transgenerational and extended family dynamics to understand a client’s complaints
• Promoting insight into extended family dynamics to facilitate change
• Identifying and altering destructive beliefs and patterns of behavior that were learned early in life in one’s family of origin
Bowen Intergenerational Therapy
In a Nutshell: The Least You Need to Know
Bowen intergenerational theory is more about the nature of being human than it is about families or family therapy (Friedman, 1991). The Bowen approach requires therapists to work from a broad perspective that considers the evolution of the human species and the characteristics of all living systems. Therapists use this broad perspective to conceptualize client problems and then rely primarily on the therapist’s use of self to effect change. As part of this broad perspective, therapists routinely consider the three-.
Reply needed today by 4pmMarriageCouples’ Counseling1)Ps.docxpearlenehodge
Reply needed today by 4pm
Marriage/Couples’ Counseling:
1)
Psychoanalytic Theory
:
Based on the theory of object relations. This theory focuses on generational relationship development. The objects are parents such as a mother-daughter bond formed during early childhood development. These early developments and bonds formed with parents are brought into adulthood and subsequently enter into marriages. Therapy for couples with this theoretical focus involves the counselor gaining crucial insight into each person’s parental relationships. Each person then transfers reorganized thoughts based on reactions, expectations, and perceptions of themselves and others onto the therapist. The counselor may also use dream work, interpretation, and resistance analysis in their therapeutic technique. The outcome of this theoretical approach is typically that catharsis will occur for couples by allowing them to acquire nascent insights into their lives, which creates space for altering the behaviors that probably caused the couples to seek therapy to begin with (Newsome & Gladding, 2014).
2)
Social-Learning Theory
:
Newsome and Gladding (2014) describe social-learning theory as “learning through modeling and imitation.” Essentially, the theory says that we learn a lot of what we know by observing the behaviors of others and couples who seek therapy have too many or too few important behaviors. An example of not enough is someone not knowing how to resolve arguments with their partner and an example of an excess is oversharing things that one person thinks the other person wants to know. One of the counseling goals utilizing this theoretical approach is to work on building skills in the moment. To help couples, the counselor uses communication-enhancement exercises, homework, and contracts. This theory is rooted in linear cognition.
3)
Rational Emotive Behavior Theory
:
REBT focuses on the idea that couples give more credence to thoughts rather than occurrences. Newsome and Gladding (2014) note that couples who think irrationally are more apt to becoming neurotic about the goings-on of their relationship, which then causes upheaval in relationships. To cope with disruptions in their relationships, couples should attempt to resolve and alter their ways of thinking and feeling about particular events. By focusing on the individuals in the relationship, the counselor can help the couple as a unit. This theory is also known as double systems therapy because of the focus on changing the individual within a family system.
The theory I find most appealing is the rational emotive behavior theory because it treats the individual as well as the couple. I think sometimes people can lose their sense of self in their relationships so having this theory bring the focus back onto the individual and allowing them to rationalize their feelings in the context of the relationship seems to be something I would use.
Forgiveness means different things to different people. But in general, it involves an intentional decision to let go of resentment and anger. The act that hurt or offended you might always be with you.The three types of forgiveness are: exoneration, forbearance and release. Let's take each in turn. Exoneration is the closest to what we usually think of when we say “forgiveness”.
At the end of the presentation, you would be able to:
-Identify the different family systems or Bowen's concepts
-distinguish techniques in family therapy
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. Objectives
Overview
Assumptions
Eight Concepts
The Role of the Therapist
3. Assumptions
Bowen developed his theory
under two assumptions
2) Man’s emotional functioning must extend beyond
psychological constructs to recognize the human’s
relatedness to all life
3) An adequate understanding of human behavior must rest
on a foundation that includes a relational system. Bowen
assumed that the family was a naturally occurring system.
(Kerr & Bowen, 1988)
4. General Concepts
Focus on system Closeness and
dynamics Distance
– Not symptoms – two opposing forces
creating the tension in
human relationships
Chronic Anxiety
Emotional system
Over and (instincts) and
Underfunctioning Intellectual system
(capacity to think)
5. Eight Concepts
Triangles Multigenerational
Transmission
Differentiation of Self
Emotional Cut-off
Nuclear Family
Emotional System Sibling Position
Family Projection Societal Emotional
Process Process
6. Triangles
“This concept describes the way three people relate
to each other and involve others in the emotional
issue between them”
“A two person system is basically unstable. In a
tension field, the two people predictably involve a
third person to make a triangle. If it involves four or
more people, the system becomes a series of
interlocking triangles”.
(Bowen, 1978)
8. Nuclear Family Emotional System
Describes four basic relationship
patterns that govern where problems
develop in a family
1) Marital Conflict
2) Dysfunction in one spouse
3) Impairment of one or more children
4) Emotional Distance
9. Family Projection Process
Describes the primary way parents transmit their
emotional problems to a child
Three Steps
1) The parent focuses on a child out of
fear that something is wrong with the child
2) the parent interprets the child's behavior
as confirming the fear
3) the parent treats the child as if something
is really wrong with the child.
10. Multigenerational transmission Process
Describes how small differences in the levels
of differentiation between parents and their
offspring lead over many generations to
marked differences in differentiation among
the members of a multigenerational family
11. Emotional Cut-off
Describes people managing their unresolved
emotional issues with parents, siblings, and other
family members by reducing or totally cutting off
emotional contact with them
3. Feels like a child to adult relationship with the
parent rather than adult to adult
4. Feels guilty; must solve their conflicts or distresses
5. Feels enraged that his parents do not seem to
understand or approve of him/her
12. Sibling Position
Walter Toman
People who grow up in the same
sibling position predictably have
important common characteristics.
Toman's research showed that sibling
positions may affect relational
dynamics in adult life
13. Societal Emotional Process
Describes how the emotional system governs
behavior on a societal level, promoting both
progressive and regressive periods in a society
Human societies undergo periods of regression
and progression in their history. The current
regression seems related to factors such as the
population explosion, a sense of diminishing
frontiers, and the depletion of natural resources
14. The Role of the Therapist
Coach Teaching the theory
Calm and neutral Defining and
while still maintaining clarifying the
emotional contact relationships
Emotionally between family
detriangled members
Focus on facts more Be a curious person:
than feelings-- How, What, When
objective presence and Where
15. Precautions
Low level of self means rigorous
differentiation work is indicated
Discourage others’ reactivity by guiding
them toward looking for facts that explain the
sensitivity
Avoid clients’ attempts to triangle in therapist
Attempts to make others change must be
redirected toward increased focus on self
Anger
Low motivation to change
16. Goals of Therapy
Increase level of
differentiation
Reduce reactivity in the Detriangle
moment I messages; self-
Decrease chronic levels definition
of anxiety Reconnect
Reduce fusion of Increase the capacity
thoughts and feelings for one to one
Educate and model relationships
differentiation
17. Interventions
Work first with the person more differentiated
Focus on thinking more than feeling (i.e. Do not ask, “How do
you feel about…,” but rather “How do you think about…”)
Detriangle
Therapist = neutral presence
Reduce interaction between dyad; each client speaks to the
therapist
I messages
Teach about the function of the emotional system
Identify triggers for reactivity
Family diagram
18. Seven Steps to Defining Self
1. Clarify one’s own internal goals, mission, vision and values--
what is your bottom line? What are your non-negotiables
(what I will and will not do, despite relationship pressure)
2. What are the obstacles within self?
3. What are the obstacles in the important relationship triangles?
4. Can you trace your relationship sensitivity to the nuclear
family emotional process?
5. What are the multigenerational processes that influence your
values, strengths and weaknesses?
6. What are the useful new and old strategies?
7. How is feedback from the environment used for learning?
(Jacobs, 2002)
19. References
Bowen, M. (1978). Family therapy in clinical practice. New York:
Jason Aronson, Inc.
Gilbert, R.M. (1994). Extraordinary relationships: A new way of
thinking about human interactions. Minneapolis: Chronimed
Publishing.
Kerr, M. (1998, Spring). Darwin to Freud to Bowen: Toward a
natural system theory of human behavior. Georgetown, 17-19,
44.
Kerr, M. E., & Bowen, M. (1988). Family evaluation. New York:
Norton.
Papero, D.V. (1995). Bowen family systems and marriage. In N. S.
Jacobson & A. S. Gurman (Eds.), Clinical handbook of couples
therapy (I, pp. 11-30). New York: Guilford Publications.